Iv chat 11232010

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Iv chat 11232010

  1. 1. Welcome everyone toIVchat!Let'sbeginwithintros,tell us abouturselvesin<140! #IVchat IVchat Morningall (my time) Glen,NUM- Day OncologyUnit, Brisbane,Downunda.Wed11 am here,working,fullclinic,may be in andout #ivchat chemosabe Good to see all - VernoninNewOrleans - Critical Care,Nursing Historyand Hospital Nightmare :) here itlearnfrom#IVchat nursingpins Hi all,I'm Cora,infusionnurse andmoderatorforIV chat! Welcome!!#IVchat InfusionNurse I'm Crystal - I do social mediaforthe NursingLinkcommunity! #ivchat NursingLink @chemosabe Hi Glen,thanku forjoiningurfirstIV chat. we're so happyu can jointoday!#IVchat IVchat Hi! I'm Teresa,fromLongIsland,NY anda staff development instructor#ivchat NurseEducator @NursingLinkWelcomeCrystal,thanksforjoining!Goodtosee u! #IVchat IVchat @IVchatthanks,have keptmissingitforpast 6 monthsor so... #ivchat chemosabe @nurseeducatorGoodtosee ya. #IVchat nursingpins as always,gladto be here #ivchat NursingLink @nurseeducatorHi Teresa,thanksforjoining!Welcome! #IVchat IVchat @nurseeducatorHi Teresa,goodto see utonite.#IVchat InfusionNurse @nursingpinsHeyVernon,howdy!#IVchat InfusionNurse Yay, so happyto see a lotof ourtwittercolleaguesontonite. Thank youfor joining.Firsttopiccomingupnext#IVchat IVchat @nursingpinsgoodtosee youtoo!#ivchat NurseEducator @InfusionNurse Happytobe here!Hopefullyadelayedvisit! #ivchat NurseEducator Topicswill be numbered,pls,prependw/topic# whenreplying #IVchat IVchat
  2. 2. T1 - Use of otoscope forfindingveins?Urthoughts?any experience?#IVchat IVchat T1 - honestly,Ihave notusedanotoscope to helpfind veins...notsure how touse it.#IVchat InfusionNurse T1 Have neverusedan otoscope - mayneedto? #IVchat nursingpins T1 neverdone it...butcan'tsee yit couldn'twork...tendtosend our diff accessesforu/sguidedcannulae #ivchat chemosabe T1 - of course,its not an approveduse foran otoscope.#IVchat InfusionNurse RT @IVchat: Welcome everyone toIVchat!Let'sbeginwith intros,tell usabouturselvesin<140! #IVchat "interestingchat to checkout" ctsinclair T1 but forthat matter,don't mostnursescarry a led torch/flashlightthese days?#ivchat chemosabe T1 - itsinterestingbutfoundthisarticle onotherusesof otoscope..http://bit.ly/gTTP3i #IVchat IVchat T1 Neverusedone eitherforfindingveinseither!Thinkinglight mighthelp#ivchat NurseEducator Nurses:goingonrightnow is#IVchat.Checkit out.#RNchat RNchat Yes,not forfindingveins.RT@InfusionNurse:T1- of course,its not an approveduse foran otoscope.#IVchat IVchat lightnotenoughto illuminate?RT@chemosabe:T1 butfor that matter,dontmost nursescarry a ledtorch/flashlightthese days?#IVchat InfusionNurse Nurses:there'sachat just foryou.starts NOW.findit at #ivchat infoployment T1 The beamof otoscope lightilluminatethe tissuesof the arms of younginfantsfacilitate the locationof veins,#IVchat IVchat T1 (cont) appearas dark linesaccessible for venipuncture...accdgtothe article..#IVchat IVchat RT @IVchat: T1 The beamof otoscope lightilluminate the tissuesof the arms of younginfantsfacilitatethe locationof veins,#IVchat InfusionNurse
  3. 3. @InfusionNurse probablynot...justtryingtobe creative, besides,don'tknowthatIhave an otoscope on myunit...or goodbatts #ivchat chemosabe @IVchatT1 The beamof otoscope lightilluminatethe tissuesof the arms of younginfant...onlyuseful ininfantsthenmaybe... #ivchat chemosabe Yes,accdg to thatarticle RT @nurseeducator:T1 Neverused one eitherforfindingveinseither! Thinkinglightmighthelp #IVchat IVchat RT @IVchat: T1 - its interestingbutfoundthisarticle onother usesof otoscope..http://bit.ly/gTTP3i #IVchat IVchat @chemosabe perhaps,accdgto thatarticle.I deal w/adults mainly#IVchat InfusionNurse @InfusionNurse perhaps,accdgto thatarticle.I deal w/adults mainly...likewise #ivchat chemosabe T1 I diduse a foot operatedX-rayviewinglightonce-samething I guess.:) Will try itnexttime I'mgraspingfor straws-otoscope #IVchat nursingpins T1 I'm concernedoff label use of otoscope here whenthere r approveddevicestofindveins..any1use those?#IVchat InfusionNurse T1 paedsandinfstendto have a more translucenttissue that wouldbe more suitedtouse of lightfor venousoutlining... #ivchat chemosabe @nursingpinstolightupthe veins...yes,maybe..#IVchat IVchat @InfusionNurse bardinOzpromote or sell small ussdevices #ivchat chemosabe goodpoint!T @chemosabe:T1 paedsand infs tendmore translucenttissue thatwouldbe more suited2use of light4 venousoutlining#IVchat IVchat T1 - have notseenone of those footoperatedlightsinyears - will have tosettle forthe otoscope.#IVchat nursingpins
  4. 4. @chemosabe Isthat usedtofindveinsforPICCinsertionor peripheral IV insertion?#IVchat InfusionNurse PlanB otoscope RT @nursingpins:T1- have not seen1 of those footoperatedlightsinyears - will have tosettle forthe otoscope.#IVchat IVchat @InfusionNurse promotedforPICCandMidline insertion,but do notsee y wouldnotbe suitable forexppractitionerwith PIVC#ivchat chemosabe T1 - Was goingto ask - any newtipsfor PICClinesthatflushw/o resistance butwill notdraw - many more PICClinesusednow. #IVchat nursingpins @nursingpinsasinnobld return?#IVchat InfusionNurse @chemosabe manyUS device rnot forPIV insertions,there r devicesavail here inthe Stated4PIV use.#IVchat IVchat T1 Yes- many nursesdrawingfromthemnow - seemslike alg# quitdrawing?#IVchat nursingpins @IVchatsure there are downhere too...costis the issue... #ivchat chemosabe @nursingpins..thenthere'saprobw/ the line,maybfibrin buidlup..mightneedtouse cathflo..#IVchat InfusionNurse @chemosabe Sotrue,cost of those devicesisaconcern, perhapshard tojustifyforPIV only#IVchat IVchat T1 some hospshave a policyfortpa (PICC) lines - some don't- nursesare takinga riskw/opolicy.#IVchat nursingpins @IVchatpreciselyyhave notinvestedinanytothispointin time...particularlywenourmedimagingdepartwill dothem4 us...#ivchat chemosabe @nursingpins...all PICC/central linesshldhave ablood return..#ivchat VascularAccess
  5. 5. @nursingpins..needanorderforcathflo - itis approvedfor clearinglines(nottpa) #IVchat InfusionNurse T2 - manyPICClineswill notdrawblood?still flushw/o resistance?#IVchat nursingpins RT @VascularAccess:@nursingpins...all PICC/central linesshld have a bloodreturn..#ivchat#IVchat IVchat Nexttopiccomingup...#IVchat IVchat @chemosabe nice thatu have that service,manyhosphere dontso nurseshave to be creative #IVchat IVchat we tendto go venogramor portogram to see whatpatencyor alterationof flowisif noflashingbackor bleeding.#ivchat chemosabe @IVchatyeswe are fortunate,butstill apainin a$$.. #ivchat chemosabe RT @nursingpins:T2- many PICClineswill notdraw blood?still flushw/oresistance?#IVchat IVchat nice RT @chemosabe:we tendtogo venogramor portogramto see whatpatencyor alterationof flowif noflashingbackor bleeding.#IVchat InfusionNurse maybrevisithowitiscared 4..RT @nursingpins:T2- many PICC lineswill notdrawblood?still flushw/oresistance?#IVchat InfusionNurse T3 - wouldhonestlysaythatyou follow the 15sec rule for scrubbinghubsw/alcohol?#IVchat IVchat T3 conjecture downhere thatdue to thisissue betteroff notto scrub hubsat all!?!?#ivchat chemosabe T3 - I mustadmitI do...:) #IVchat InfusionNurse T2 thanx for thistopicVernon,apartfromCathflo,whichneed to clarifyforozzie,wasthere anyothertips?#ivchat chemosabe
  6. 6. 15 secondsisrule for handwashing... withalcohol,isn'tonly until dry?#IVchat swan5675 T3 Centline care isnot consistenthere - one of the many things we needstandardpolicyfor.#IVchat nursingpins ReallynoscrubbingjustaccessRT@chemosabe:T3 conjecture downhere that due to this issue betteroff nottoscrub hubsat all!?!?#IVchat IVchat T3 personally,waitforglistentogooff hub/injectionport/bung whateverwe call it#ivchat chemosabe So sorry!familyoverfora quickvisit#ivchat NurseEducator @IVchatnot so muchwith piccs and portsbut withIMI injectionsandPIVCbungsyes...notinpolicyanywhere though...?#ivchat chemosabe RT @chemosabe:T3 personally,waitforglistentogooff hub/injectionport/bungwhateverwe call it#IVchat InfusionNurse DefinitelyRT@nursingpins:T3Centline care isnot consistent here - one of the many thingswe needstandardpolicyfor. #IVchat InfusionNurse Also4 hubs RT @swan5675: 15 secondsisrule for handwashing...withalcohol,isntonlyuntil dry?#IVchat InfusionNurse @nurseeducatornoprob,welcome back!#IVchat InfusionNurse T3 - a concernfor CR BSI..#IVchat IVchat We have IV teamat ourhospital toensure consistencywith central line care.Onchemofloorwe doour own.#IVChat JoyceHarrellRN @nursingpins,,there are standardsof practice youcan use as reference.egINSstandardof practice forinfusionnursing #IVchat IVchat
  7. 7. T3 - @chemosabe,soif notscrubbingat all,what'sur infection rate?#IVchat InfusionNurse RT @joyceharrellrn:We have IV teamat ourhospital toensure consistencywithcentral linecare.Onchemofloorwe doour own.#IVchat IVchat We have to obtaindye studybefore usingif nobloodreturn. #IVChat JoyceHarrellRN @InfusionNurse ahhthe beauty/dangerof having aninf control departthat doesnotmonitorIV site ratesor BSIrates??? #ivchat chemosabe Good policytohave,wishevery1will dothatRT @joyceharrellrn:We have toobtaindye studybefore usingif no bloodreturn.#IVchat InfusionNurse @joyceharrellrndoufollowsame procedureonCLas the IV team?#IVchat InfusionNurse @IVchatThanks - So many of NO proceduresstemfromthe (Watch one,Doone,Showone) fromThe oldCharityHosp. #IVchat nursingpins LOL..RT @chemosabe:ahhthe beauty/dangerof havinganinf control departthat doesnot monitorIV site ratesor BSI rates???#IVchat IVchat RT @InfusionNurse:Goodpolicytohave,wishevery1willdo that RT: We have to obtaindye studybefore usingif noblood return.#IVChat JoyceHarrellRN @InfusionNurse @joyceharrellrnone hospinBrisbane has nurse ledPICCteam,and have done since the earlynineties... #ivchat chemosabe RT @InfusionNurse:@joyceharrellrndoufollow same procedure onCL as the IV team?Yes,usingthe hosp.policies. #IVChat JoyceHarrellRN RT @chemosabe:@InfusionNurse@joyceharrellrnone hospin Brisbane hasnurse ledPICCteam,and have done since the earlynineties.#IVChat JoyceHarrellRN
  8. 8. I'm an oncologynurse,sowe mostlydeal withPicc's andPort's on our unit.#IVChat JoyceHarrellRN Impressive RT@chemosabe:@joyceharrellrnone hospin Brisbane hasnurse ledPICCteam,and have done since the earlynineties...#IVchat InfusionNurse T3 - back to hubscrubbing,dou thinknew deviceslike alcohol impregnatedconnectors(swabcaps) will helpwithCRBSI prevention?#IVchat IVchat anotherusesthe OncologyNursestodoall PICC andPort care... #ivchat chemosabe @nursingpinsgoodtime toshowthemthe "evidence"or standards!!LOL #IVchat IVchat T3 - back to hubscrubbing,dou thinknew deviceslike alcohol impregnatedconnectors(swabcaps) will helpwithCRBSI prevention?#IVChat JoyceHarrellRN RT @chemosabe:anotherusesthe OncologyNursestodoall PICCand Port care...Good Idea... #IVChat JoyceHarrellRN Yes ONSjustreleasedthe AccessDevice GuidelinesRT @chemosabe:anotherusesthe OncologyNursestodoall PICC and Portcare... #IVchat InfusionNurse RT @InfusionNurse:YesONSjustreleasedthe AccessDevice GuidelinesRT@chemosabe:anotherusesthe OncologyNurses #IVchat IVchat @IVchatYou are right- #IVchat nursingpins T3 beststickto the standardsand infectioncontrol policies... are injectionsites/hubs/bungsroutinelychangedupthere? #ivchat chemosabe I came ina little late.We don'tuse the impregnated connectors.#IVChat JoyceHarrellRN T3 - here'sinfoonswabcapshttp://bit.ly/eoEbKT(notan endorsement) there rothers#IVchat IVchat
  9. 9. @chemosabe.We have policiesonwhentochange needles, drsg changes,hubs.#IVChat JoyceHarrellRN @chemosabe Changedq7 days here (withbio-patch) butagain not standard.#IVchat nursingpins Yes RT @chemosabe:T3 are injectionsites/hubs/bungs routinelychangedupthere?#IVchat InfusionNurse RT @IVchat: T3 - heresinfoonswabcapshttp://bit.ly/eoEbKT (notan endorsement) there rothers(Thankyou) #IVChat JoyceHarrellRN RT @IVchat: T3 - heresinfoonswabcapshttp://bit.ly/eoEbKT (notan endorsement) there rothers#IVchat InfusionNurse We change port needlesq6 days,caps aftereveryblooddraw, or every3 days if no blooddraw.#IVChat JoyceHarrellRN RT @joyceharrellrn:We change portneedlesq6 days,caps aftereveryblooddraw,or every3 daysif no blooddraw. #IVchat InfusionNurse @joyceharrellrn6daysnot 7days?justcuriousmost r 7 days #IVchat IVchat Dont u downthere?RT @chemosabe:T3are injection sites/hubs/bungsroutinelychangedupthere?#IVchat IVchat T3 justreferredtolocpol...swabbedwithalco andallowedto dry...bungschangedpermanufacturersguidelines...copout... #ivchat chemosabe We doit 6 days.I thinkitwas originallyforkeepingaflow. Tubingchange on CL were every3 days.So,everythingisinsync #IVChat JoyceHarrellRN RT @chemosabe:T3 justreferredtoloc pol...swabbedw/alco, allowedtodry,bungschangedpermanufacturersguidelines, cop out #IVchat InfusionNurse Heythere @nursingpins...Funtopic.#IVChat JoyceHarrellRN @IVchatDont u downthere?anecdotallysome hospsinbris not changingbungsroutinelyonPICCs#ivchat chemosabe T3 @joyceharrellrnlike the ideaof 6 daysfor sync butsystem- wide we are 7 days#ivchat NurseEducator Wow,we're almostat an hour,wantedto wrap upa bitearlyto allowtime to switchto #MDchat. Any partingthoughts?#IVchat IVchat
  10. 10. Yes,do u insertPIVsbevel uporbevel down...LOL..justcurious! #IVchat InfusionNurse @joyceharrellrnHi - listening- :) andlearning.#IVchat nursingpins nothingmore to add,but,thanks,exactlysortof discussionsi was anticipating,thanksall #ivchat chemosabe @InfusionNurse bevupof course...doesn'teveryone...?#ivchat chemosabe @nurseeducatorItmakesitflow nice.Daythree tubingand caps change,day six,tubing,caps,needle.drsg,(unlessblood draws) #IVChat JoyceHarrellRN it ischangedregularlyperpolicyRT@chemosabe:Dontudown there?anecdotallysome hospsinbrisnotchangingbungs routinelyPICCs#IVchat InfusionNurse RT @nursingpins:@joyceharrellrnHi - listening- :) and learning. Alwaysfuntolearn.#IVChat JoyceHarrellRN @InfusionNurse afewdownugh...so traumatic...surprised theyare successful?#ivchat chemosabe RT @InfusionNurse: Mostlysaidup,afew downRT @chemosabe:@InfusionNurse bevupof course..(Bevupfor me alwaysfor anyneedle) #IVChat JoyceHarrellRN It's a wrap, thankyouso much everyone forjoiningtonight.It has beenfunandinteresting!!Goodnite all!!#IVchat IVchat Had neverheardof bevel down?thoughtImissedsomething.- #IVchat nursingpins goodmorningall.goodsleep#ivchat chemosabe ThanksCora and all present.#IVchat nursingpins Thanks,sorry I got onlate.#IVChat JoyceHarrellRN Yes,a fewsaid downRT @nursingpins:Hadneverheardof bevel down?thoughtImissedsomething.- #IVchat InfusionNurse Good night!Missedmostof a good chat! #ivchat NurseEducator ThanksGlennRT @chemosabe:goodmorningall.goodsleep #IVchat IVchat NextIV chat will be Dec.8 Wed 8PM! #IVchat IVchat
  11. 11. RT @chemosabe:goodmorningall.goodsleep(mydaysand nightsare alwaysmessedup.Oncnurse bynight,wellnesscoach by day..:) ) #IVChat JoyceHarrellRN We missedutoo,but summarywill be upina few RT @nurseeducator:Goodnight!Missedmostof a good chat! #IVchat IVchat Thankseveryone forjoining,thiswassofun!!Love that Glen couldjoinusfrom downunder.Till nextchat.#IVchat InfusionNurse will putitin mydiary...off to physical meetingnow!#ivchat chemosabe @joyceharrellrn@chemosabe @nursingpins@nurseeducator thankshave a wonderful week.HappyThanksgivingtothose in the states.#IVchat InfusionNurse @InfusionNurse@chemosabe@nursingpins@nurseeducator thankshave a wonderful week.HappyThanksgivingtothose in the states.#IVChat JoyceHarrellRN IV flusheswithsaline>IV flusheswithheparin.#ebp#IVchat #whatILearned Marcia_Lynn23 RT @joyceharrellrn:@InfusionNurse@chemosabe @nursingpinsthankshave awonderful week.Happy Thanksgivingtothose inthe states.#ivchat NurseEducator If u all have time,gooverto #MDchat now in progress#IVchat IVchat see mybloghttp://is.gd/hFPBsRT@nursingpins:Hadnever heardof bevel down?thoughtImissedsomething.- #IVchat InfusionNurse Saline preferredRT@Marcia_Lynn23: IV flusheswithsaline>IV flusheswithheparin.#ebp#IVchat#whatILearned#IVchat InfusionNurse Thanks,have a great day!!RT @chemosabe: willputitinmy diary...off tophysical meetingnow!#IVchat IVchat RT @IVchat: NextIV chat will be Dec.8 Wed8PM! #IVchat IVchat Sad I missed#IVchattoday!HopefullyI'll catchthe nextone. jennparsonage
  12. 12. @swan5675 ..oops,sorryjustsaw ur tweet,use tweetchat.com nexttime andenter#IVchat.www.ivchat.orghasthe summariesof pastchats. IVchat @nursinglink - Iknowitspast 5 ur time butthanksfor joining #IVchat. IVchat @IVchatjust sawthispost.I apparentlymissedit.#IVchat bthenextstep justtesting........#IVchat swan5675 kewl!Iknowhowto do this,now.Thanks!Amlookingforward to the nextchat (Whenisit?) #IVchat swan5675 I see nextchatis December8 (My birthday...easyto remember.) Itisat8PM....but,inwhat time zone?Ilive in Indiana.#IVchat swan5675

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